Active NPIIndividual providerSole proprietor

Kimberly M Mata

Specialist/Technologist, Athletic Trainer in Greenwich, Connecticut

NPI Number1679339717
Practice location
49 S Water St Apt 2R, Greenwich, CT 06830-6819
Fax
—
Last updated
February 26, 2024

Kimberly M Mata is a Specialist/Technologist, Athletic Trainer based in Greenwich, CT. Kimberly M Mata practices in Greenwich, CT. The NPI Number for Kimberly M Mata is 1679339717. The current practice location address for Kimberly M Mata is 49 S Water St Apt 2R, Greenwich, CT 06830-6819 and can be reached out via phone at 203-962-5101.

Provider Profile Details

NPI Number
1679339717
Provider Name
Kimberly M Mata
Provider Entity Type
Individual
Gender
Female
Address
49 S Water St Apt 2R, Greenwich, CT 06830-6819
Phone Number
203-962-5101
Primary Taxonomy
Specialist/Technologist, Athletic Trainer · 2255A2300X
Sole Proprietor
Yes
Provider Enumeration Date
February 26, 2024
Last Update Date
February 26, 2024
Certification Date
February 26, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
49 S Water St Apt 2R
Greenwich, CT 06830-6819
Zip
06830-6819
Phone Number
203-962-5101
Greenwich, CT 06830Get directions →

Provider Business Mailing Address Details

Address
49 S Water St Apt 2R
Greenwich, CT 06830-6819
City
Greenwich
State
CT
Zip
06830-6819
Phone Number
203-962-5101

License Information

Taxonomy
Specialist/Technologist, Athletic Trainer · 2255A2300X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Kimberly M Mata?

The NPI number of Kimberly M Mata is 1679339717. It was assigned on February 26, 2024 and is currently active in the NPPES registry.

What is the specialty of Kimberly M Mata?

Kimberly M Mata is registered under the primary taxonomy Specialist/Technologist, Athletic Trainer (code 2255A2300X).

Where does Kimberly M Mata practice?

The practice location is 49 S Water St Apt 2R, Greenwich, CT 06830-6819. The office can be reached at 203-962-5101 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1679339717 directly on the NPPES registry website.

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